Nursing Education in Complementary Alternative Modalities: A Case Study

Purpose: The purpose of this embedded case study was to describe the preparation for and utilization of complimentary alternative modality (CAM) interventions by an experienced Doctor of Nursing Practice (DNP) prepared nurse practitioner (NP) working in an outpatient setting. Background: Given the widespread use of CAM by the American public and the potential complications involved in combining CAM and standard medical care, a lack of educational preparation in CAM interventions by NPs delivering primary care in outpatient health care settings represents both a potential risk and a missed opportunity to provide holistic patient care. Such a lack of knowledge also constitutes a tremendous gap for NPs working in an outpatient health care setting to provide symptom management and comfort care to populations most in need of it, particularly palliative care patients. Methods: Leininger’s Theory of Cultural Care served as a sensitizing theory for the development of the two lines of inquiry of CAM education and utilization. A DNPprepared NP with substantive knowledge of CAM and extensive integrating CAM into a primary care outpatient practice who met Yin’s (2018) criteria for an embedded case study participated in an open-ended interview focusing on CAM as the phenomenon of interest. The six thematic steps developed by Braun and Clark (2006) were used in performing data analysis. These steps include data familiarization, generating initial codes, searching for themes, reviewing themes, defining/naming themes, and producing the report. Findings: Five major themes emerged from the study’s two lines of inquiry. Line of inquiry one (perception of formal CAM education throughout the participant’s nursing education) yielded the three themes of: (1) Extreme deficiency in CAM education at all levels of nursing education (deficiency); (2) CAM education as imperative in NP-level education (imperative); and (3) opportunities for improved CAM education (opportunities). Line of inquiry two (utilization of CAM as an NP in a primary care outpatient setting) yielded two additional themes of: (4) CAM as life-altering for patients (life-altering) and (5) importance of cultural collaboration (cultural collaboration). Implications for Research: Data from this study support the need for future studies of level of CAM inclusion in nursing curricula, particularly at the NP level, and documentation of subsequent uptake of CAM interventions by practicing NPs. Key words: nursing education, complimentary therapy, alternative therap

Val Plumwood’s Philosophical Animism: Attentive Inter-actions in the Sentient World

Towards the end of her eventful and productive life, Val Plumwood was turning toward Indigenous people and cultures as a way of encountering the lived experience of ideas she was working with theoretically. At the same time, she was defining herself as a philosophical animist. As I understand her term, she was making connections with animism as a worldview, but rather than mimic or appropriate indigenous animisms she was developing a foundation that could be argued from within western philosophy. Her beautiful definition of philosophical animism is that it “opens the door to a world in which we can begin to negotiate life membership of an ecological community of kindred beings.” Thus, her animism, like indigenous animisms, was not a doctrine or orthodoxy, but rather a path, a way of life, a mode of encounter. In the spirit of open-ended encounter, I aim to bring her work into dialogue with some of my Australian Aboriginal teachers. More specifically, I focus on developing an enlarged account of active listening, considering it as the work participants engage in as they inter-act with other sentient creatures. I take a country or place based perspective, engaging with life on the inside of the webs and patterns of connection

Dislocating the Frontier

History; Frontier; Pioneer life; Australi

Lessons to be learned from test evaluations during the Covid-19 pandemic:RSS Working Group’s Report on Diagnostic Tests

The coronavirus disease (Covid-19) pandemic raised challenges for everyday life. Development of new diagnostic tests was necessary, but under such enormous pressure risking inadequate evaluation. Against a background of concern about standards applied to the evaluation of in vitro diagnostic tests (IVDs), clear statistical thinking was needed on the principles of diagnostic testing in general, and their application in a pandemic. Therefore, in July 2020, the Royal Statistical Society convened a Working Group of six biostatisticians to review the statistical evidence needed to ensure the performance of new tests, especially IVDs for infectious diseases—for regulators, decision-makers, and the public. The Working Group’s review was undertaken when the Covid-19 pandemic shone an unforgiving light on current processes for evaluating and regulating IVDs for infectious diseases. The report’s findings apply more broadly than to the pandemic and IVDs, to diagnostic test evaluations in general. A section of the report focussed on lessons learned during the pandemic and aimed to contribute to the UK Covid-19 Inquiry’s examination of the response to, and impact of, the Covid-19 pandemic to learn lessons for the future. The review made 22 recommendations on what matters for study design, transparency, and regulation

Lessons to be learned from test evaluations during the Covid-19 pandemic:RSS Working Group’s Report on Diagnostic Tests

The coronavirus disease (Covid-19) pandemic raised challenges for everyday life. Development of new diagnostic tests was necessary, but under such enormous pressure risking inadequate evaluation. Against a background of concern about standards applied to the evaluation of in vitro diagnostic tests (IVDs), clear statistical thinking was needed on the principles of diagnostic testing in general, and their application in a pandemic. Therefore, in July 2020, the Royal Statistical Society convened a Working Group of six biostatisticians to review the statistical evidence needed to ensure the performance of new tests, especially IVDs for infectious diseases—for regulators, decision-makers, and the public. The Working Group’s review was undertaken when the Covid-19 pandemic shone an unforgiving light on current processes for evaluating and regulating IVDs for infectious diseases. The report’s findings apply more broadly than to the pandemic and IVDs, to diagnostic test evaluations in general. A section of the report focussed on lessons learned during the pandemic and aimed to contribute to the UK Covid-19 Inquiry’s examination of the response to, and impact of, the Covid-19 pandemic to learn lessons for the future. The review made 22 recommendations on what matters for study design, transparency, and regulation

Health in All Policies: Working Across Sectors in Cooperative Extension to Promote Health for All

A Health in All Policies approach engages cross-sector stakeholders to collaboratively improve systems that drive population health. We, the members of the Extension Committee on Organization and Policy (ECOP)’s Health in All Policies Action Team, propose that adopting a Health in All Policies approach within the national Cooperative Extension System will better prepare us to contribute meaningfully to improving the nation’s health. We first explain the Health in All Policies approach and argue for why and how it is relevant for Extension. We then present insights gathered from Extension Family and Consumer Sciences program leaders and state specialists to assess whether national and state leadership are poised to adopt a Health in All Policies approach within their affiliated programs. Although participant leaders saw the value of the approach in contributing to population health improvement, they generally saw the Extension system as having lower levels of readiness to adopt such an approach. Six themes emerged as ways to increase Extension’s engagement in Health in All Policies: a paradigm shift within Extension, professional development of competencies, transformational leaders and leadership support, continued and new partnerships, information access for all levels and disciplines of Extension